Return Order Conf Page: 1 of 1

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Order Type: Returns Order #: 62504125

Sold-to Acct #: 83965
Created On: 01/29/2021
PO No: 52549105
Ref Inv #: 920744510
Expected Delivery Date: 01/29/2021
Border States Electric - MPL Payment Terms: Net 25th prox
9100 Wyoming Ave N Suite 550
Created By: Michael Gendreau
Brooklyn Park MN 55445-1862
Tel No: 763-315-9542
Phone: 763-425-5500
Fax No: 763-315-9550

Rockwell Automation
PO Box 2167
Milwaukee WI 53201-2167
Ship-to:
Rockwell Automation
PO# 52549105
Ref: ROKRGV
346 W Carol Ln
Elmhurst IL 60126-1003

Order Note:
Rockwell to return to BSE via truck line
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Cust Item BSE Item Material Quantity Price Per UoM Value
MFG - Description
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000010 3347649 1 EA 1,706.36 /1 EA 1,706.36-

HOF - QUOTE 59996 JOB WF100LP-MOD-P1390
Cust Material #: E029749
Ref SO #: 34282776
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Total $ 1,706.36-
State Tax $ 0.000 % 0.00
County Tax $ 0.000 % 0.00
Local Tax $ 0.000 % 0.00
Other Tax1 $ 0.000 % 0.00
Other Tax2 $ 0.000 % 0.00
Other Tax3 $ 0.000 % 0.00
Tax subtotal $ 0.00

Net Amount $ 1,706.36-

Form of Payment _________________________ Date _________________________ Amount _________________________

To access BSE's Terms and Conditions of Sale, please go to

https://www.borderstateselectric.com

The taxes calculated for this order are estimates only and
will be finalized at the time of invoice in accordance with
the material purchased, quantity and delivery location.

All clerical errors contained herein are subject to correction. In the event of any cost or price increases from
manufacturers or other suppliers, caused by, but not limited to, currency fluctuations, raw material or labor
prices, fuel or transportation cost increases, and any import tariffs, taxes, fees, or surcharges, BSE reserves the
exclusive right to change its pricing at the time of shipping and will provide notice of any such change to its
customers prior to costs being incurred.